Continuous intravenous lidocaine in the treatment of paralytic ileus due to severe spinal cord injury.
Paralytic ileus is a major concern in the acute phase of spinal cord injury. Classical treatment with neostigmine is often ineffective. Continuous intravenous (i.v.) lidocaine infusion has been previously proposed intra and post-operatively in order to decrease the duration of post-operative ileus after abdominal surgery. We report the cases of seven patients suffering from complete paralytic spinal cord injury-related ileus with colectasy resistant to neostigmine, who were treated by i.v. lidocaine infusion.
Baumann
A
A
Département d'Anesthésie-Réanimation, Hôpital Central, Centre Hospitalier Universitaire de Nancy, Université Henri Poincaré, Nancy Cedex, France.
Audibert
G
G
Klein
O
O
Mertes
P M
PM
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D007418:Intestinal Pseudo-Obstruction / Q000188:drug therapy* / Q000209:etiology*; D008012:Lidocaine / Q000008:administration & dosage* / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000150:complications* / Q000188:drug therapy*; D013997:Time Factors
D008012:Lidocaine